Healthcare Provider Details

I. General information

NPI: 1639664782
Provider Name (Legal Business Name): LIMAR ADULT DAY HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2018
Last Update Date: 06/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2809 TWEEDY BLVD UNIT B
SOUTH GATE CA
90280-5538
US

IV. Provider business mailing address

2809 TWEEDY BLVD UNIT B
SOUTH GATE CA
90280-5538
US

V. Phone/Fax

Practice location:
  • Phone: 323-567-9919
  • Fax: 323-567-9929
Mailing address:
  • Phone: 323-567-9919
  • Fax: 323-567-9929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LIOR BARKODAR
Title or Position: OWNER
Credential:
Phone: 323-810-5090